Banner - University Hospital Based Physicians LLC
Clinic/Center, Radiology in Phoenix, AZ. Organization (NPI-2).
NPI number1083324941
StatusActive
Last updated in NPPESDec 1, 2022
Details
- NPI
- 1083324941
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner - University Hospital Based Physicians LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 1, 2022
- Certification date
- Dec 1, 2022
- Last updated
- Dec 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
1111 E McDowell RdPhoenix, AZ 85006-2612
Phone 602-839-2000
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Authorized official
Todd Werner
Division President
6027474000
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